In this paper, we present a patient real-time vital sign information transmission system to effectively support developing real-time communication service by using a real-time object model named TMO (Time-Triggered Message-Triggered Object). Also, we describes the application environment as the PMS(Patient Monitoing System) to guarantee real-time service message with TMO structure in distributed network systems. We have to design to obtain useful vital sign information, which is generated at parsing data receiver modulor of HIS with TMO structure, that is offered by the central monitor of PMS. Vital sign informations of central monitor is composed of the raw data of several bedsite patient monitors. We are willing to maintain vital sign information of real time and continuity that is generated from the bedsite patient monitor. In the real time simulation techniques based on TMO object modeling, we have observed several advantages to the TMO structuring scheme. TMO object modeling has a strong traceability between requirement specification and design.